两种手术方法切除非小细胞肺癌疗效临床分析

Clinical analysis of effect between sleeve resection and pneumonectomy for elderly patients with non-small cell lung cancer

目的探讨肺癌袖状切除术与全肺切除术治疗老年患者非小细胞肺癌的疗效临床。方法 210例老年非小细胞肺癌患者分成观察组(肺癌袖状切除术)和对照组(传统全肺切除术)。结果观察组与对照组术后并发症发生率为12.2%、33.9%(P<0.05),但术后死亡率无显著差异(χ2=0.67)。两组术后1、3、5年生存率分别为81.6%、56.1%、46.9%及63.4%、39.3%、31.3%(P<0.05)。结论肺癌袖状切除术治疗老年非小细胞肺癌疗效好,并发症发生率低,术后生存率高。

Objective To study the clinical effect between sleeve resection and pneumonectomy for elderly patients with non- small cell lung cancer. Methods 210 elderly patients with non-small cell lung carcinoma were divided two groups. The observation group were treated with sleeve resection and the control group were treated with traditional lung resection. Results The incidence of postopera- tive complications in the observation group and the control group were respectively 12.2% and 33.9% （P 〈 0.05 ）, but the postoperative mortality had no significant difference （X2 = 0. 67 ）. The survival rates of 1, 3 and 5 years after the surgery were separately 81.6%, 56. 1%, 46.9% in the observation group and 63. 4%, 39. 3%, 31.3% in the control group （P 〈 0.05）. Conduslon The sleeve re- section is effective and has low complication rate and high postoperative survival rate in the treatment of elderly patients with non-small lung cancer.